Evidence map›Paper›PMID 36977676›Full record

ArticleTranslational psychiatry2023

Neural valuation of rewards and punishments in posttraumatic stress disorder: a computational approach.

Ruonan Jia, Lital Ruderman, Robert H Pietrzak, Charles Gordon, Daniel Ehrlich, Mark Horvath, Serena Mirchandani, Clara DeFontes, Steven Southwick, John H Krystal and 2 more

Open access · goldFull text read
In one paragraph

Article in Translational psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Altered amygdala and striatal responsivity and prediction error encoding of temporal reward dynamics in post-trauma psychopathology.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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  15. Latent-state and model-based learning in PTSD.Trends in neurosciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Ruonan JiaInterdepartmental Neuroscience Program, Yale University, New Haven, CT, USA.
Lital RudermanDepartment of Comparative Medicine, Yale School of Medicine, New Haven, CT, USA.
Robert H PietrzakNational Center for PTSD, West Haven VA Medical Center, West Haven, CT, USA.
Charles GordonNational Center for PTSD, West Haven VA Medical Center, West Haven, CT, USA.
Daniel EhrlichInterdepartmental Neuroscience Program, Yale University, New Haven, CT, USA.
Mark HorvathNational Center for PTSD, West Haven VA Medical Center, West Haven, CT, USA.
Serena MirchandaniNational Center for PTSD, West Haven VA Medical Center, West Haven, CT, USA.
Clara DeFontesNational Center for PTSD, West Haven VA Medical Center, West Haven, CT, USA.
Steven SouthwickNational Center for PTSD, West Haven VA Medical Center, West Haven, CT, USA.
John H KrystalNational Center for PTSD, West Haven VA Medical Center, West Haven, CT, USA.ORCID 0000-0001-6952-1726
Ilan Harpaz-Rotem *National Center for PTSD, West Haven VA Medical Center, West Haven, CT, USA.ORCID 0000-0002-6066-9406
Ifat Levy *Interdepartmental Neuroscience Program, Yale University, New Haven, CT, USA. ifat.levy@yale.edu.ORCID 0000-0001-7851-9070
Yale University · US

Funding

Individual differences in decision making under uncertaintyR01MH118215 · NIMH · YALE UNIVERSITY · PI LEVY, IFAT · 2019 to 2023
$3.4M
Neural mechanisms of decision-making under uncertainty in PTSDR21MH102634 · NIMH · YALE UNIVERSITY · PI HARPAZ-ROTEM, ILAN, LEVY, IFAT · 2014 to 2015
$458k
NIMH NIH HHS R01 MH118215NIMH NIH HHS R21 MH102634
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) is associated with changes in fear learning and decision-making, suggesting involvement of the brain's valuation system. Here we investigate the neural mechanisms of subjective valuation of rewards and punishments in combat veterans. In a functional MRI study, male combat veterans with a wide range of posttrauma symptoms (N = 48, Clinician Administered PTSD Scale, CAPS-IV) made a series of choices between sure and uncertain monetary gains and losses. Activity in the ventromedial prefrontal cortex (vmPFC) during valuation of uncertain options was associated with PTSD symptoms, an effect which was consistent for gains and losses, and specifically driven by numbing symptoms. In an exploratory analysis, computational modeling of choice behavior was used to estimate the subjective value of each option. The neural encoding of subjective value varied as a function of symptoms. Most notably, veterans with PTSD exhibited enhanced representations of the saliency of gains and losses in the neural valuation system, especially in ventral striatum. These results suggest a link between the valuation system and the development and maintenance of PTSD, and demonstrate the significance of studying reward and punishment processing within subject.

Indexed as

Stress Disorders, Post-TraumaticBrain MappingFearHumansMagnetic Resonance ImagingMalePrefrontal CortexPunishmentReward

Identifiers

PMID36977676
PMCPMC10050320
OpenAlexW4361222357

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read24
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.